MEDICARE: DR. ANDREA KLEIN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22427	FL

General Provider Information

NPI Number	:	1225680044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA KLEIN DMD

Provider Business Mailing Address
First Line	:	19900 E COUNTRY CLUB DR APT 114
Second Line	:
City	:	AVENTURA
State	:	FL
Zip	:	33180-3328
Country	:	US
Telephone Number	:	305-336-6940
Fax Number	:

Provider Business Practice Location Address
First Line	:	1955 W 68TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4403
Country	:	US
Telephone Number	:	785-257-1646
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	07/11/2019

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